A nurse is assisting with the admission of a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse anticipate the provider prescribing to decrease ICP?

Nicardipine

Phenytoin

Dopamine

Mannitol

Answer and Explanation

The Correct Answer is D

A. Nicardipine is a calcium channel blocker primarily used to manage blood pressure but does not directly reduce ICP.
B. Phenytoin is an anticonvulsant used to prevent seizures, which may occur after a hemorrhage, but it does not address increased ICP.
C. Dopamine is used to increase blood pressure and cardiac output but does not play a role in reducing ICP.
D. Mannitol is an osmotic diuretic that helps decrease ICP by drawing fluid from brain tissue into the bloodstream, thus relieving pressure within the skull. It is the most appropriate intervention for managing increased ICP.

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Correct Answer is B

Explanation

A. Acetylcysteine is an antidote for acetaminophen overdose and is not related to reversing heparin effects.
B. Protamine sulfate is the specific antidote for heparin and is used to reverse its anticoagulant effects in cases of overdose or when surgery is needed.
C. Vitamin K is used to reverse the effects of anticoagulants like warfarin, not heparin, making it incorrect in this context.
D. Deferoxamine is used to treat iron toxicity and has no relevance to heparin reversal, making this option incorrect.

A. “I will decrease my activity to prevent added stress on my legs.” B. “I will need to massage my legs frequently to prevent a buildup of fluid.” C. “I will inspect my legs every day for changes in color, size, and temperature.” D. “I will keep my legs in a dependent position.”

Correct Answer is C

Explanation

A. Decreasing activity is not recommended for peripheral venous disease; clients are encouraged to engage in physical activity to promote circulation and prevent complications.
B. Massaging legs may not be advisable as it could exacerbate swelling and discomfort; instead, elevation is often recommended.
C. Inspecting legs daily for changes is essential for early detection of complications such as skin changes or ulcers, indicating the client understands the importance of monitoring their condition.
D. Keeping legs in a dependent position can worsen venous pooling and swelling; elevation is generally recommended to improve venous return.

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A nurse is assisting with the admission of a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse anticipate the provider prescribing to decrease ICP?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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